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Using Your Health Insurance at Boulder Medical Center

Boulder Medical Center accepts most health insurance plans, and if we don’t, we can submit a one-time claim to your out-of-network insurance provider as a courtesy.

Why We Need Your Insurance Card to Every Visit

When you visit your provider at any Boulder Medical Center office, we will ask for your health insurance card every time. Even if your insurance has not changed since we last saw you, checking your card at each visit helps us ensure your plan will cover your visit as you anticipated (deductibles, co-pays, self-pay, etc.). A printed/card or digital version on your phone works great.

Your Responsibilities

Contracted Insurance Plans (In-Network)

As a patient, you are responsible for knowing if Boulder Medical Center providers are contracted (in-network) with your insurance plan. The best way to confirm this is to contact your insurance company and provide them with Boulder Medical Center’s:

  • Tax ID #: 84-0834835 and
  • NPI (National Provider Identifier) #: 1306820923

Non-Contracted Insurance Plans (Out-of-Network)

If Boulder Medical Center is not contracted (out-of-network) with your insurance provider, you will receive a service estimate at least five days before your appointment.

  • The estimated amount must be paid on the day of your visit.
  • The estimate is the minimum amount. There may be additional charges depending on the treatments or procedures received during your appointment.
  • You are responsible for the full cost of services and will be billed for any remaining balance.
  • If the amount you paid exceeds the final billed charges, we will issue a refund within two weeks of your appointment.
  • As a courtesy, we will copy/scan your insurance card and submit a one-time claim to your insurance provider.

Health Insurance Plans Accepted by Boulder Medical Center

Aetna

  • EPO
  • HMO
  • Indemnity NAP
  • Meritain Health
  • NC NAP
  • Open Access
  • POS, POS II
  • PPO, PPO Open Choice
  • QPS
  • Select
  • US Access

Anthem Blue Cross Blue Shield

  • Anthem Ameriben CU Student Insurance
  • BlueCard – Out-of-area/state must have a suitcase logo on the identification card and back of card must say “File claims to your local BCBS”
  • Blue Priority/Blue Priority HMO – referral required
  • CU HMO Exclusive & HMO Colorado UC Health Network plans accepted only at OBGYN at Foothills and Longmont locations.
  • Federal Employee Program
  • HMO/HMO Colorado
  • Indemnity
  • Pathway – Referral required. Plans not accepted by OBGYN at the Louisville location
  • Mountain Enhanced – Referral required
  • PPO
  • WellChoice PPO
  • NO MediBlue Plus
  • NO MediBlue Dual Advantage HMO/SNP

Cigna

  • Connect – At our Louisville location, this plan can only be used with our Family Medicine and Pediatrics practices (no specialists).
  • EPO
  • HMO – Card must say “Cigna of Colorado”
  • Indemnity
  • Local Plus/Local Plus IN
  • Network – Card must say “Cigna of Colorado”
  • Open Access Plus (card might say OA plus)
  • POS – Card must say “Cigna of Colorado”
  • PPO
  • Surefit — At our Louisville location, this plan can only be used with our Family Medicine and Pediatrics practices (no specialists).
  • Vantage

Centivo

Cofinity

Devoted

  • Devoted Medicare Advantage

First Health Network

Kaiser

  • PPO
  • Medicare Advantage PPO

Medicaid

  • New-to-Medicaid patient by referral only
  • NO out-of-state Medicaid plans are accepted
  • NO Denver Health Medicaid plans are accepted
  • NO UHC Community Plans are accepted
  • NO CHP+ plans

Medicare

  • Medicare Part B, with or without any Medicare Supplemental Plan

PHCS – Private Health Care Systems

  • PPO
  • Multi-Plan PPO

Select Health

Tricare (Military Insurance)

  • Prime – Referral required
  • Remote – No referral required
  • Select – No referral required

TriWest (VA Benefits)

  • Authorization Letter required to bring to appointment

United Healthcare

  • All Savers
  • Charter – Must have a Boulder Medical Center primary care provider or medical referral from a non-BMC primary care provider
  • Choice, Choice Plus
  • Colorado Doctors Plan
  • Common Spirit Value Plan
  • Compass – Must have a Boulder Medical Center primary care provider or medical referral from a non-BMC primary care provider
  • NO Community Plan (Medicaid)
  • Expatriate Ins Choice Plus
  • GEHA
  • Golden Rule
  • Harvard Pilgrim
  • Heritage-River Valley
  • Indemnity
  • Managed Indemnity
  • Medicare Advantage
  • Navigate & Navigate IHP – Must have a Boulder Medical Center primary care provider or medical referral from a non-BMC primary care provider
  • Options PPO
  • Oxford
  • PERA
  • Select & Select Plus
  • Sierra Health + Life
  • Shared Services
  • Student Resources
  • Surest
  • Travelers
  • UMR
  • UnitedHealthOne
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